Adult Social Care Provider WebinarFriday 16th October 2020

Welcome and Introductions (Tony Pounder)

Welcome and introductions

Purpose of webinar: key messages and updates, both national and local

Reminders:

• Fortnightly webinar for providers on Fridays, 1-2/2.30 p.m.

• Provider portal: https://www.lancashire.gov.uk/practitioners/health-and-social-care/care-service-provider-engagement/coronavirus-covid-19-information-for-care-providers/

• Fortnightly newsletter emailed to providers by Contract Management with a summary of key messages

https://www.lancashire.gov.uk/practitioners/health-and-social-care/care-service-provider-engagement/coronavirus-covid-19-information-for-care-providers/

Today’s Agenda• Key updates:

– Finance Recap; letter to providers (Tony Pounder)

– LRF Visiting Policy (Tony Pounder)

– Designated Discharges (Tony Pounder)

– LCC Response: Winter Plan (Kieran Curran)

– PPE recap (Ellen Smith)

– Infection Prevention Control (Tanya Shaw)

• Regular updates (Kieran Curran)

Lancashire now in

• Tier 3

Finance

• IPC Grant Round 2

• Closure of Financial Assistance Programme

• Fee Setting 2021/22

Infection Prevention Control Grant - recap from previous webinars and Round 1

• Round 1 IPC Grant arrangements and spending period come to an end 30th Sept 2020

• LCC's allocation in the IPC Grant Round 1 was £16,197,303, of which £12,619,000 was allocated to care home (75%)

• The remaining 25% was allocated to domiciliary care, supported living, day services, etc

• The government’s Winter Plan announcement confirmed that new IPC Grant arrangements will take providers through until 31 March 2021

IPC Grant Round 2 – the money

• Community Services - £306.56 per user

– Includes domiciliary care, supported living etc

• Care homes

£662.97 per bed (Mandatory)

£173.94 per bed (discretionary)

Total = £836.91 per beds

• 5% remaining

• For other services – eg Refuges, Homelessness

services ec

IPC Grant – Key Differences for Round 2• Fundamental change is community providers now have a specific ring fenced

amount. This is not just homecare, it’s CQC Registered community providers and identified by way of the CQC community care tracker. £3.4 million to community providers.

• The grant conditions now provide some examples of the type of funding that could be covered by the grant. These can be found in the Grant Guidance documentation

• Providers must now confirm acceptance of the grant before any money can be paid to them. ACT NOW!

• Providers must commit to monthly reporting and provider LCC with a report showing how much has been spend and how much they plan to spend.

IPC Grant – Key Differences for Round 2

• LCC aiming to get an electronic "questionnaire" but will communicate when this is available.

• Until they ear otherwise it's fill out the schedule 3 and email back to the address in the letter.

• The county council must submit monthly returns to the DHSC summarising the pan lancs position. We have asked that providers submit their info a minimum of 1 week prior to the LCC deadline to submit so there is sufficient time to check the returns and address issues.

• The grant remains payable in two instalments but in order to receive tranche 2, ALL of tranche 1 must have been spend by 31/12/20.

IPC Grant – Key Differences for Round 2

• Within the guidance they are very clear that spent means spent. All money must be spent by 31/3/21. Any money not spent must be repaid. In round 1 this was inferred. Now it has been stated.

• Grant conditions are similar to round 1 but have been expanded and explained in a little more detail.

– Round 1 was heavily staff orientated but this time it has been slightly expanded....for example capital costs associated with facilitating visits is mentioned.

– Full details of grant conditions are at Annexe C

• ICF round 1 was unclear whether the funding constituted state aid. In this

round they have been clear that it does not constitute state aid.

Infection Prevention Control Grant -Tranche 2 – how it will work

• Lancashire will be receiving £14,883,462 in total

• 80% of each instalment must be shared on a ‘per bed/per user’ basis to domiciliary care, extra care and supported living providers, as well as care homes

• £8,509,183 of this amount is for allocation to care homes

• £3,397,587 of this amount is for allocation to community care providers

• The other 20% (discretionary funding) - £2,976,692- will be used to support the full range of social care providers regardless of whether the local authority already commissions care from them;

• If care homes have unoccupied beds we can add their unallocated monies to the 20% discretionary pot, we can do the same if providers hand back their allocation;

• We can use the 20% discretionary element to fund/buy PPE.

Closure of Financial Assistance Scheme

• LCC’s own financial scheme to support providers since April 2020

• About £6m spent on extra costs

– Mostly on staffing costs

– PPE

– Other equipment

• In light of national arrangements via PPE Portal and the new IPC tranche- we have written to all providers to confirm closure of scheme

Fee Setting 2021/22

• Work commencing

• Engagement with providers critical

• Designing an engagement process to take us to decisions by February 2021 Cabinet

Safe Visiting Policy

• Balancing infection risk and rights/family access

• LRF seeking permission to make limited visiting possible within care settings where it is safe

• Designated individuals to be allowed to visit

• Potentially included in staff testing and PPE

• Risk-based approach and providers making best interest decisions for their residents and families

Safe Visiting Policy

• Designated visiting rooms

• Installation of Perspex screens

• Scheduled, time-limited appointment slots

• Clinical grade PPE for visitors and supervisors

• Good record keeping to support Test and Trace

• Use of IPC funding to support safe visiting (staff, IPC cleaning, room alterations)

Safe Visiting Policy

• Ultimately up to local areas and care homes to take account of their circumstances in considering application of any of these recommendations

• Always based on risk assessments

• We will invite you to an interactive session on making this a reality

Discharges into Designated Settings

Discharges into Designated Settings

• DHSC Winter Plan promised a new designation scheme of premises for COVID9+ people leaving hospital and transferring to a care home with CQC

• Councils are identifying and notifying CQC of local designated accommodation and assuring compliance with the IPC protocol.

Discharges into Designated Settings • Anyone with a positive result being discharged into or back into

a registered care home must be discharged into appropriate designated setting.

• Designated accommodations will need to be inspected and meet the latest CQC IPC standards.

• No one will be discharged into or back into a registered care home setting with a test result outstanding, or without having been tested within the 48 hours preceding their discharge.

• Everyone discharged into a care home must have a reported COVID test result which must be communicated to the care home prior to the person being discharged from hospital.

CQC Update

• The national 'instruction' does allow existing residents to return to their residential/nursing home from hospital even if covid positive, if CQC has assured it as a designated place.

• In order to do so, homes need CQC to assure which will be a visit of approx. 2 hours and go through a series of questions.

• Homes need to apply to CQC via their website.

Winter Plan: LCC Response (Kieran Curran)

• 3 councils and NHS preparing joint response

• Covering the latest approaches across ASC:• Managing staff movement and workforce support

• PPE and Testing

• Flu vaccinations

• Support for unpaid carers

• Care home support plans

• Will be published online at end of the month

Reminder: Actions for Providers

• Review and update continuity plans, follow guidance and support your workforce

• Use additional funding for IPC and report back

• Provide data through the Capacity Tracker

• Access testing and PPE portal as needed

• Encourage service users and staff to get flu jab

• Strengthened oversight and support from CQC

PPE - Recap Ellen Smith

PPE - new arrangementsNational PPE Portal

• National PPE Portal is the main supply route

– Free PPE for all CQC registered care providers

– Providers must register but then can order what they need

– Volumes of items issued reflect calculations based on standardised assumptions about need and usage

– Delivery by Royal Mail

– PPE Portal (link)

– Please continue to share your feedback re: the new PPE portal arrangements with us via Contract Management

https://nhs-ppe.co.uk/customer/authentication

PPE - new arrangementsLCC role

• LCC no longer to be a routine supplier of PPE to registered care providers

• LCC will be the supplier to day services, PAs, social work, OT staff etc – ie non CQC registered care providers – this will be via supplies from National PPE Portal

• LCC still maintaining a strategic stockpile in case of further national / international supply chain disruption

PPE - new arrangementsProviders own supply chains

• Providers can of course continue to buy their own PPE

• However – costs will no longer be reimbursed by LCC from

– LCC not receiving further money from Government to cover PPE costs –

– so can’t afford to continue to meet providers costs

Infection Prevention Control Updates

Tanya Shaw

IPC Update

Gloves:

• Guidance changed on 28th September for care staff to wear nitrile, neoprene or latex when providing personal care and when exposed to body fluids or blood is likely.

• This is ensuring that vinyl gloves are not used for this purpose.

Gloves

Announced on 7th October that Government now reviewing glove guidance in these documents:

How to work safely in care homes;

How to work safely in domiciliary care

Returning to Work - asymptomatic

Ref:

https://www.gov.uk/go

vernment/publications/

covid-19-

management-of-

exposed-healthcare-

workers-and-patients-

in-hospital-settings

https://www.gov.uk/government/publications/covid-19-management-of-exposed-healthcare-workers-and-patients-in-hospital-settings

Returning to Work - symptomatic

Ref:

https://www.gov.uk/gov

ernment/publications/co

vid-19-management-of-

exposed-healthcare-

workers-and-patients-

in-hospital-settings

https://www.gov.uk/government/publications/covid-19-management-of-exposed-healthcare-workers-and-patients-in-hospital-settings

Returning to work if T&T say you are a contact or if you are a household contact

• Isolate for 14 days.

• If you develop symptoms, get a test.

• If negative – keep isolating for the remainder of 14 days.

• If positive – clock re-starts and isolate for a further 10 days. Even if that means you are self-isolating for longer than 14 days.

Returning to normal routine

• If you remain well, you can return to your normal routine at the end of the 14-day period.

• You do not need to isolate for longer than 14 days, even if other household members develop symptoms during this period.

• However, the person with new symptoms should now self-isolate for 10 days. People in the household who remain well after 14 days are unlikely to be infectious.

Gov.uk Daily Updates

• Would recommend that you keep up to date by subscribing to daily emails.

• Provides a quick alert to any guidance change.

Local and national policy,resources and events

(Kieran Curran)

All new and updated national adult social care guidance

available on the Portal under:

Government, NHS and NW ADASS advice and guidance

http://www.lancashire.gov.uk/practitioners/health-and-social-care/care-service-provider-engagement/coronavirus-covid-19-information-for-care-providers/government-nhs-and-nw-adass-advice-and-guidance/

New National Guidance• Local COVID alert levels: what you need to know –

information on local COVID alert levels, what they mean, why they are being introduced and what the different levels are. Published on 12 October

• Full list of local COVID alert levels by area – contains a list of the areas in England listed as local COVID alert levels high and very high. Published on 12 October

• Test and Trace Support Payment scheme: claiming financial support – who can claim the support and how to apply. Published on 12 October

https://www.gov.uk/guidance/local-covid-alert-levels-what-you-need-to-knowhttps://www.gov.uk/guidance/full-list-of-local-covid-alert-levels-by-areahttps://www.gov.uk/government/publications/test-and-trace-support-payment-scheme-claiming-financial-support

Updated Guidance• Supported living services during coronavirus (COVID-19) -

COVID-19: guidance for supported living: easy read has been added. Updated on 12 October

• Social Care Sector COVID-19 Support Taskforce: report on first phase of COVID-19 pandemic – an easy-read version pandemic’s impact on people with learning disabilities and autistic people has been added. Updated on 12 October

• COVID-19: how to work safely in care homes

• COVID-19: how to work safely in domiciliary care in England

Both pages to be updated shortly following a review of the use of gloves. Updated on 7 October

https://www.gov.uk/government/publications/supported-living-services-during-coronavirus-covid-19https://www.gov.uk/government/publications/social-care-sector-covid-19-support-taskforce-report-on-first-phase-of-covid-19-pandemic?utm_source=67d7f72c-3c75-4420-a9e8-a265b9ff2487&utm_medium=email&utm_campaign=govuk-notifications&utm_content=dailyhttps://www.gov.uk/government/publications/covid-19-how-to-work-safely-in-care-homeshttps://www.gov.uk/government/publications/covid-19-how-to-work-safely-in-domiciliary-care

Free iPads for Care Homes

• NHS is offering iPads to help care homes and residents

• For homes funded by NHS or council and less than one tablet per 40 residents

• Apply for a device using the NHS online order form

• Deadline for submitting the form is Friday 23 October 2020

https://www.nhsx.nhs.uk/covid-19-response/social-care/ipad-offer-care-homes/?s=09https://www.smartsurvey.co.uk/s/NHSX_iPad_offer/

Care Capacity Tracker User Guide

• New Care Capacity Tracker Oracle User Guidenow available on the Provider Portal

• If you would like to self-input:

Let us know on your daily call

We will give you access to the Oracle system

Follow the User Guide to complete the Tracker questions online

https://www.lancashire.gov.uk/practitioners/health-and-social-care/care-service-provider-engagement/coronavirus-covid-19-information-for-care-providers/care-capacity-tracker-oracle-user-guide/

Healthwatch surveys on LD/A access

• What barriers do people with learning disabilities,

and/or autism face in accessing services and devices?

• Do they have equal access to smartphones, social media and entertainment?

• Survey is for providers based in Lancashire who offer support to people with learning disabilities and/or autism

• Anonymous short surveys will only take a few minutes

https://us3.campaign-archive.com/?e=__test_email__&u=6fc565ce147a0447a83ae19fe&id=47101da51b

COVID-19 Online Resources

• Care Quality Commission info for providers

• Social Care Institute for Excellence

• Health Education England coronavirus programme

https://www.cqc.org.uk/guidance-providers/all-services/coronavirus-covid-19-pandemic-information-providershttps://www.scie.org.uk/care-providers/coronavirus-covid-19https://www.e-lfh.org.uk/programmes/coronavirus/

The Resilience Hub

• A new resource from LSCFT (NHS) to offer a single access point for psychological support

• Available to the care workforce and their families affected by Covid-19. Identifies the best response to address needs and offers 1-1 or group interventions

If your organisation has staff members who require immediate support then please contact lschub@lancashirecare.nhs.uk and the team will work with individuals to provide an offer of support.

mailto:lschub@lancashirecare.nhs.uk

Pathways into Health & Social Care Workshop

• A virtual workshop on 21 October via MS Teams

• How to support young people and carers into volunteer roles or jobs in Regulated Care.

• We want to hear from providers, particularly those with experience in running a volunteer programme

• If you are interested in attending contact susan.shannon@lancashire.gov.uk

mailto:susan.shannon@lancashire.gov.uk

Next steps

• Next regular provider webinar is Friday 30th October, 1pm; as of this session, we now have a permanent joining link for our webinars

• Guest speaker: David Coop (CQC)

• Presentation and recording from today will be shared on the portal - link

• Review and respond to any queries/questions, as appropriate

Thank you!

https://www.lancashire.gov.uk/practitioners/health-and-social-care/care-service-provider-engagement/coronavirus-covid-19-information-for-care-providers/residential-and-nursing-care/